Table 3.
Magnetic resonance spectroscopy results by randomized group and outcome at hospital discharge.
| Overall N=14 | 24 hr hypothermia N=8 | 72 hr hypothermia N=6 | p | Favorable outcome N=6 | Unfavorable outcome N=8 | p | |
|---|---|---|---|---|---|---|---|
| Basal Ganglia | |||||||
| Lactate | 1.18 (0.89–2.03) | 1.67 (1.07–3.29) | 0.96 (0.47–1.19) | 0.181 | 0.75 (0.21–1.41) | 1.56 (1.07–4.47) | 0.108 |
| N-acetylaspartate | 6.99 (4.49–8.21) | 6.99 (4.24–7.74) | 7.48 (4.85–9.13) | 0.414 | 8.36 (7.29–9.13) | 5.60 (4.09–7.04) | 0.059 |
| Lactate/NAA Ratio | 0.19 (0.10–0.35) | 0.27 (0.15–0.68) | 0.14 (0.05–0.19) | 0.282 | 0.08 (0.03–0.28) | 0.23 (0.18–1.10) | 0.081 |
| Parietooccipital gray matter | |||||||
| Lactate | 0.93 (0.69–1.98) | 1.53 (0.81–2.68) | 0.82 (0.63–0.92) | 0.108 | 0.74 (0.68–0.92) | 1.83 (0.90–2.68) | 0.043 |
| N-acetylaspartate | 4.82 (3.42–8.86) | 3.81 (3.03–7.79) | 6.90 (4.70–10.85) | 0.228 | 9.73 (7.88–10.85) | 3.54 (2.52–4.82) | 0.005 |
| Lactate/NAA Ratio | 0.16 (0.09–0.83) | 0.40 (0.10–0.93) | 0.11 (0.09–0.18) | 0.228 | 0.09 (0.06–0.09) | 0.64 (0.16–0.93) | 0.005 |
| Parietal white matter | |||||||
| Lactate | 0.99 (0.70–1.78); n=9 | 1.06 (0.67–1.58); n=4 | 0.99 (0.70–1.78); n=5 | 0.905 | 0.74 (0.64–1.27); n=4 | 1.35 (0.99–1.81); n=5 | 0.286 |
| N-acetylaspartate | 8.07 (6.81–9.10); n=9 | 8.07 (7.44–8.82); n=4 | 7.50 (4.62–9.10); n=5 | 0.730 | 9.33 (8.58–10.10); n=4 | 6.81 (4.62–7.50); n=5 | 0.032 |
| Lactate/NAA Ratio | 0.20 (0.08–0.23); n=9 | 0.14 (0.08–0.21); n=4 | 0.20 (0.09–0.30); n=5 | 0.730 | 0.08 (0.07–0.14); n=4 | 0.23 (0.20–0.30); n=5 | 0.032 |
| Thalamus | |||||||
| Lactate | 1.31 (0.97–1.95); n=13 | 1.35 (0.97–2.66); n=7 | 1.15 (0.72–1.95); n=6 | 0.534 | 1.10 (0.54–1.95) | 1.35 (1.07–4.23); n=7 | 0.295 |
| N-acetylaspartate | 8.12 (6.20–9.77) | 8.12 (6.20–10.20) | 8.30 (6.19–9.77) | 0.945 | 9.69 (8.12–10.20) | 6.97 (4.16–9.76) | 0.138 |
| Lactate/NAA Ratio | 0.16 (0.12–0.20) | 0.16 (0.12–0.43) | 0.15 (0.10–0.20) | 0.836 | 0.12 (0.05–0.20) | 0.17 (0.13–1.02) | 0.295 |
Comparisons between metabolites and randomized or outcome group analyzed with Wilcoxon rank sum test
NAA, N-acetyl-aspartate